“…Airway remodeling directly affects the outcome of asthma. It refers to the pathological changes of the airway, which include airway epithelial injury, epithelial fibrosis, hypertrophy, proliferation and migration of airway smooth muscle (ASM), an increased number of activated and muscle fibroblasts, goblet cell proliferation, mucus secretion, angiogenesis, decreased cartilage integrity and increased airway vascularity ( 19 ). Numerous types of inflammatory cell, including eosinophils, T lymphocytes, macrophages, mast cells and neutrophils, as well as airway structural cells, including ASM cells, epithelial cells and fibroblasts, release a variety of cytokines, including chemokines, growth factors and extracellular matrix protein.…”